Common Registration Assessment, Part 1

Loperamide capsule counts and daily maximums for the GPhC assessment

Three original practice questions, with the working shown. Read the stated prescription or plan before calculating.

Published 26 October 2026. Independent revision material, not GPhC questions, not for patient care.

Capsules and tablets in close-up
Photo from Pexels, used under the Pexels licence. It is a stock image and does not show the exercise.

The NHS lists loperamide tablets and capsules containing 2 mg; the maximum in 24 hours is 6 tablets or capsules when bought from a shop or pharmacy, or 8 when prescribed.

The BNF acute schedule starts with 4 mg, followed by 2 mg after each loose stool, to a maximum of 16 mg a day.

Each question fixes the values needed for its arithmetic. Write the unit beside every step and distinguish a single dose from a daily total or course supply. All prescriptions and patients here are fictional; these are revision materials, not for patient care.

The method

  1. Identify the exact formulation, strength, dose and frequency supplied in the question.
  2. Convert an X mg/5 mL strength to mg/mL if a dose-to-volume conversion is needed.
  3. Calculate one dose first; for tablets or capsules divide prescribed mg by mg per unit.
  4. Scale to the stated frequency and duration only when a total quantity is requested.
  5. Apply whole-container or complete-day rounding only if the question specifies it.

Three practice questions

Work each one on paper first, then open the answer. All patients and prescriptions are fictional.

Question 1

A fictional plan starts loperamide at 4 mg, using 2 mg capsules. How many capsules is the first dose?

Show the answer

Answer: 2 capsules

Working: 4 ÷ 2 = 2 capsules.

Question 2

A fictional plan uses the prescribed maximum 16 mg of loperamide in 24 hours, using 2 mg capsules. How many capsules is that?

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Answer: 8 capsules

Working: 16 ÷ 2 = 8 capsules.

Question 3

A fictional plan is loperamide 4 mg at first, then 2 mg after each of 3 loose stools. What is the total amount taken?

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Answer: 10 mg

Working: 4 + (2 × 3) = 10 mg.

NHS: How and when to take loperamide

https://www.nhs.uk/medicines/loperamide/how-and-when-to-take-loperamide/

Where marks are lost

  • Using a remembered strength or schedule instead of the stated product.
  • Reporting a daily total when the question asks for one dose or the course.
  • Treating arithmetic as evidence that a real prescription is clinically suitable.

Frequently asked questions

Are these official assessment questions?

No. They are original revision exercises, not official GPhC questions and not for patient care.

Can a quantity calculation justify a formulation switch?

No. Follow the formulation and prescription in the exercise. Real switches and dose changes need clinical checks.

How should I check the answer?

Check the requested unit, then work backwards from the quantity to the stated dose and duration.

Sources

The questions above are original and use fictional patients and prescriptions. PreRegExamPrep is not affiliated with or endorsed by the General Pharmaceutical Council.

Practise until the method is automatic

Try 15 free questions with worked answers. No sign-up required.

More calculation topics

See also the formula sheet, the eight sample questions and the approved calculator page.